ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse in an alcohol treatment facility is caring for a client who states 'my job is so stressful that the only way I can cope is to drink.' The nurse should recognize that the client is displaying which of the following defense mechanisms?
Correct Answer: B
Rationale: The correct answer is B: Rationalization. Rationalization is a defense mechanism where an individual justifies or explains their behavior in a rational or logical manner to avoid the true reasons behind it. In this scenario, the client is attributing their excessive drinking to their stressful job, which is a rationalization to cope with their behavior. Repression involves unconsciously pushing thoughts or feelings out of awareness. Introjection is internalizing beliefs or attitudes of others. Intellectualization is focusing on facts and logic to distance oneself from emotions. In this case, rationalization best describes the client's behavior.
Question 2 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 3 of 5
A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because benztropine is commonly used to treat extrapyramidal side effects (EPS) caused by antipsychotic medications, such as tremors, muscle stiffness, and restlessness. By including this in the teaching, the nurse is providing valuable information on how the medication works to address these side effects.
Choices B, C, and D are incorrect because benztropine is not used to treat depression, hallucinations, or tachycardia in clients with schizophrenia. Benztropine's main purpose is to manage EPS specifically.
Question 4 of 5
A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer?
Correct Answer: A
Rationale:
To calculate the correct dose, use the formula: Desired dose (25 mg) / Available dose (10 mg) x Volume available (5 mL).
Therefore, 25 mg / 10 mg x 5 mL = 12.5 mL. The correct answer is A (12.5 mL).
Choice B (10 mL) is incorrect as it does not account for the higher dose needed.
Choices C (15 mL) and D (5 mL) are incorrect as they do not follow the correct calculation formula.
Question 5 of 5
A nurse is assessing a client who has been taking clozapine for 3 months. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B: Sore throat. Clozapine can cause agranulocytosis, a serious condition characterized by a low white blood cell count. Sore throat can be an early sign of this condition, so it should be reported immediately to the provider for further evaluation and possible discontinuation of clozapine. Constipation, dry mouth, and drowsiness are common side effects of clozapine but are not considered urgent enough to report immediately.